Mrs. Debra Marie Dominczak, LPCIT
Mrs. Debra Marie Dominczak, LPCIT is a Mental Health Counselor in Menasha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.
- Licensed in
- WI
- In the registry since
- 2013
Practice location Address checks out
1478 Kenwood Dr Ste 1Menasha, WI 54952-1161
Phone: (920) 886-9319
Fax: (920) 886-9357
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 1440-226 (WI) |
|---|
Record details
| NPI number | 1821337601 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPCIT |
| Sole proprietor | No |
| NPI enumerated | February 13, 2013 |
| Last updated in NPPES | February 13, 2013 |
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